| Name Of the Firm : | Siba Subham Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At : Agarpada, P.O : B.T. Pur, Dist : Bhadrak Plot No.1984/4013, Khata No.418 |
| RP Name : | Sri Jaladhara Khamaria |
| Registration Number : | 15598 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Manoj Ku. Jena |
| R : | BH-16130/R |
| RC : | BH-16131/RC |
| RX : | BH-5282/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 7/2/2001 |
| Date of Expiry : | 12/31/2017 |
| Remarks : | C/R Not Issued |